New Student Registration

Address*

Marital Status
My child/ren is/are
Are the biological mother and the maternal grandmother of the child(ren) Jewish?*

YesNo
If no, please explain:
Have there been any conversions to Judaism in the family?*

YesNo
If yes, please explain:
Have there been any adoptions in the family?*

YesNo
If yes, please explain:
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of?

If yes, please describe them and indicate special precautions or care needed.
Additional Information you would like to provide:
Emergency Contact
Full Name*

First Name Last Name
Relationship*
Home Number

Area Code Phone Number
Cell Number*

Area Code Phone Number
Work Number

Area Code Phone Number
Payment
Tuition: $500 - full year ($50 sibling discount)Refer a friend and save $50 per family! (Friend must be new to Chabad Hebrew School and will be registering their child for Hebrew School this coming year)

Click here to complete a scholarship request. No child will be turned away due to lack of funds.
Registration:*

Child 1 - $500Sibling - $450Additional Sibling - $450
Total

$0.00

Payment

Credit Card Check

Postal / Zip Code

Country

This page uses TLS encryption to keep your data secure.

HEBREW SCHOOL REGISTRATION